Position Title: Clinical Review Nurse - Concurrent Review
Location: Remote
Duration: 6 Months | Contact to Hire
Schedule: Tuesday Saturday
8am-5pm CST- schedule is firm- no flexibility
Key Responsibilities
This is a fast-paced role. The nurse will be reviewing clinical faxed in by facilities for medical necessity. We are a close-knit team with a positive work environment. We help each other out and no one is left behind with a lot of work. The nurse gains valuable regarding commercial insurance.
8am-5pm CST. Will have task queue to work from. Will work closely with team lead and team members to meet daily deadlines. Will be reviewing cases for medical necessity all day. Will work from home with multiple monitors and needs to be able to multitask. Once off training, they will need to work one Saturday every other month.
Candidate Requirements
Education/Certification Required: Graduate from an Accredited School of Nursing or bachelor's degree in nursing
Preferred : 2 4 years of related experience- 4 years is preferred
Licensure Required: Texas RN
Years of experience required: UM experience preferred not required
Disqualifiers: Less than 2 years of nursing experience, no LPNs
Additional qualities to look for: Multitasking, fast learner, positive, and be computer savvy.
Skills :
Multitasking
Fast learner
Computer savvy
...with POS systems is a plus Strong willingness to help others and provide exceptional guest services Previous experience in hospitality, restaurant, or hotel industry preferred Outstanding customer service skills and a friendly demeanor Refined verbal...
...Job Brief: We are seeking a skilled and motivated WordPress Developer to join our dynamic team. This role offers an exciting opportunity to create, customize, and optimize engaging websites that drive brand awareness and enhance user experience. As a key player in...
...online degree and certificate programs, for students pursuing a bachelors, masters,... ...LinkedIn . Job Description Academic Coaches serve as academic mentors, coaches,... ...ultimately are champions focused on the success of their students. Academic Coaches partner...
...Overview We are looking for a Patient Care Coordinator to join the team! The Patient Care Coordinator (PCC) serves as the key liaison for our patients and ensures a seamless and welcoming experience. In this role, the PCC will greet patients warmly, introduce...
**Job Description****Job Summary**As the Manager, Protection Services Operations Center (PSOC), you will be a member of Molina Healthcare... ...Operations Center, reporting to the Director. This role is crisis and threat intelligence focused and includes responsibilities...